Intraparty Discord in Florida and Other States Threatens to Derail Plans to Broaden Health-Insurance Coverage for Poor

Several Republican governors who defied their conservative bases to support Medicaid expansion under the federal health-care law are running into a brick wall: their states' GOP-led legislatures.

The latest clash is unfolding in Florida, where Republican Gov. Rick Scott, an ardent opponent of the 2010 health-care law, shocked many observers by announcing his support for Medicaid expansion in February. As the legislative session nears its conclusion Friday, the state's GOP-controlled House of Representatives remains...